Individual
STEPHANIE LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2209 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 588-8215
Mailing address
5552 UNION RD, HAHIRA, GA 31632-4213
(229) 220-7654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN190528
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
190528
GA
Other
Enumeration date
01/31/2012
Last updated
01/28/2020
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